clinical practice is often suggested as a mechanism to enhance transparency in
decision- making, to overcome unwanted variation and to improve patient and
system outcomes. However, most research-based knowledge fails to translate into
practice. The result is that patients do not benefit optimally from research and
are therefore exposed to unnecessary risks.
There are a lot of reasons
why these evidence-practice gaps occur; one is that researchers rarely cooperate
with the practitioners. Researchers and practitioners speak different languages.
Many practitioners do not have the knowledge, skills or time to implement the
evidence-based research. Many programs and clinical guidelines are designed in
optimal circumstances and not in the complex everyday life of clinical practice.
This factor especially applies to elderly medical patients.
We work with
the Knowledge To Action (KTO) model. KTO is a theoretic model developed to
support the ‘black box’ call knowledge translation or implementation. The model
contains two phases - a Knowledge creation phase and an Action cycle phase. The
core principle of this model is continuous exchange of information between the
- To generate knowledge about implementation of clinical guidelines and
evidence-based programs, for elderly medical patients.
- How to incorporate knowledge about the organisation’s local culture and
learning processes, during implementation of clinical guidelines and evidence
based health care programs.
- How to incorporate implementation science when designing evidence-based
Implementering af FMK –
To skridt frem og et tilbage (Implementation of FMK, an electronic medicine
chart, Two steps forward and one back), Selina Christensen, Line Due Jensen,
Kirsten Laila Vinding and Janne Petersen [Manuscript in
Implementering af retningslinjslinjer og programmer i
sundhedsvæsenet, Jeanette W. Kirk [Manuscript in preparation]
Problems using FMK at Discharge
seen from Hospital Doctors’ Perspective. Title in Danish: Problemer ved brugen
af det Fælles Medicinkort (FMK) ved udskrivelse set fra hospitalslægers
perspektiv. Selina Christiansen [Master Thesis]